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NSG 4100 (AHIII) Exam 4 Testbank questions with complete solutions 2024
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NSG 4100 (AHIII) Exam 4 Testbank questions with complete solutions 2024
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NSG 4100 (AHIII) Exam 4 Testbankquestions with complete solutions 2024
The jpt jw jfibromyalgia jis jsuffering jfrom jpain jat j12 jof jthe j18 jidentification jsites,
jincluding jthe jneck j& jupper jback j& jknees. jThe jpt jalso jreports jnon-refreshing
jsleep, jdepression, j& jbeing janxious jwhen jdealing jw jmultiple jtasks. jThe jnurse
jshould jteach jthis jpt jabout jwhat jtreatments? jSelect jall jthat japply:
a. jMinimal jaerobic jexercise
b. jRelaxation jstrategy j(biofeedback)
c. jAnti-seizure jduring jphenytoin
d. jSerotonin jreuptake jinhibitor j(e.g. jsertraline)
e. jEstablish ja jregular jsleep jpattern j- jANS✓✓-B, jD, jE
The jnurse jcaring jfor ja jclient jw ja jhead jinjury jwould jrecognize jwhich
jassessment jfinding jas jearly jsigns jof jincreased jICP? jSelect jall jthat japply:
a. jKussmaul jbreathing
b. jProjectile jvomiting
c. jWeakness jin jone jextremity
d. jHeadache jnot jaggravated jby jmovement jof jstraining
e. jDecreased jurine joutput
f. jPapilledema j- jANS✓✓-A, jC, jD
A jnurse jcaring jfor ja jclient jdiagnosed jto jhave jhead jinjury. jWhich jof jthe
jfollowing jsituations jneeds jintervention jby jthe jnurse?
a. jThe jpadded jside jrails jup
b. jThe jbed jis jadjusted jto jlow jlevel
c. jThe jclient's jspouse jturns jon jthe jTV jone jhour jin jthe jafternoon jand j3 jhours jin
jthe jevening
d. jThe jhead jof jbed jis jelevated jat j30 jdegree jangle j- jANS✓✓-C
The jcritical jcare jnurse jis jcaring jfor ja jclient jw ja jhead jinjury jsecondary jto ja
jmotorcycle jaccident jwho, jon jmorning jrounds, jis jresponsive jto jpainful jstimulus
,jand jassumes jdecorticate jposturing. jTwo jhours jlater, jwhich jdata jwould jwarrant
jimmediate jintervention jby jthe jnurse?
a. jThe jclient jhas jpurposeful jmovement jwhen jthe jnurse jrubs jthe jsternum
b. jThe jclient jextends jthe jupper jand jlower jextremities jin jresponse jto jpainful
jstimuli
c. jThe jclient jis jaimlessly jthrashing jin jthe jbed jwhen ja jnoxious jstimuli jis japplied
j- jANS✓✓-B
The jnurse jis jcaring jfor jclients jin jthe jED. jWhich jclient jshould jthe jnurse jassess
jfirst?
a. jThe jclient jw jan jepidural jhematoma
b. jThe jclient jwho jhad ja jseizure jwho jis jin jthe jpostictal jstate
c. jThe jclient jdiagnosed jw jR/O jencephalitis jwho jhas ja jheadache
d. jThe jclient jw jmultiple jsclerosis jwho jhas jscanning jspeech j- jANS✓✓-A
A jfemale jpt jhas jexperienced jan jepisode jof jmyasthenic jcrisis. jThe jnurse jwould
jassess jwhether jthe jpt jhas jprecipitating jfactors jsuch jas:
a. jGetting jtoo jlittle jexercise
b. jTaking jexcess jmedication
c. jOmitting jdoses jof jmedication
d. jIntake jof jfatty jfoods j- jANS✓✓-C
A jpt jis jbeing jadmitted jto jthe jneurologic jICU jfollowing jan jacute jhead jinjury jthat
jhas jresulted jin jcerebral jedema. jWhen jplanning jthis jpt's jcare, jthe jnurse jwould
jexpect jto jadminister jwhat jpriority jmedication?
a. jHydrochlorothiazide j(HydroDIURIL)
b. jFurosemide j(Lasix)
c. jMannitol j(Osmitrol)
d. jSpriolactone j(Aldactone) j- jANS✓✓-C
The jnurse jis jcaring jfor ja jpt jwho jis jpostoperative jfollowing ja jcraniotomy. jWhen
jwriting jthe jplan jof jcare, jthe jnurse jidentifies ja jdiagnosis jof jdeficient jfluid
jvolume jr/t jfluid jrestriction j& josmotic jdiuretic juse. jWhat jwould jbe jan
jappropriate jintervention jfor jthis jdiagnosis?
a. jchange jthe jpt's jposition jas jindicated
b. jmonitor jserum jelectrolytes
c. jmaintain jNPO jstatus
d. jmonitor jarterial jblood jgas j(ABG) jvalues j- jANS✓✓-B
,A jpt jwho jhas jbeen jon jlong-term jphenytoin j(Dilantin) jtherapy jis jadmitted jto jthe
junit. jIn jlight jof jthe jadverse jof jeffects jof jthis jmedication, jthe jnurse jshould
jprioritize jwhich jof jthe jfollowing jin jthe jpt's jplan jof jcare?
a. jmonitoring jof jpulse joximetry
b. jadministration jof ja jlow-protein jdiet
c. jadministration jof jthorough joral jhygiene
d. jfluid jrestriction jas jordered j- jANS✓✓-C
A jnurse jis jadmitting ja jpt jw ja jsevere jmigraine jheadache jand ja jhx jof jacute
jcoronary jsyndrome. jWhat jmigraine jmedication jwould jthe jnurse jquestion jfor
jthis jpt?
a. jRizatriptan j(Mazalt)
b. jnaratriptan j(Amerge)
c. jsumatriptan jsuccinate j(Imitrex)
d. jzomitriptan j(Zomig) j- jANS✓✓-C
The jnurse jis jcaring jfor ja jpt jw jincreased jICP. jThe jpt jhas ja jnursing jdx jof
jineffective jcerebral jtissue jperfusion. jWhat jwould jbe jan jexpected joutcome jthat
jthe jnurse jwould jdocument jfor jthis jdiagnosis?
a. jcopes jw jsensory jdeprivation
b. jregisters jnml jbody jtemperature
c. jpays jattention jto jgrooming
d. jobeys jcommands jw jappropriate jmotor jresponses j- jANS✓✓-D
A jpt jexhibiting jan jaltered jLOC jdue jto jblunt-force jtrauma jto jthe jhead jis
jadmitted jto jthe jED. jThe jphysician jdetermines jthe jpt's jinjury jis jcausing
jincreased jICP. jThe jnurse jshould jgauge jthe jpt's jLOC jon jthe jresults jof jwhat
jdiagnostic jtool?
a. jMonro-Kellie jhypothesis
b. jGlasgow jComa jScale
c. jCranial jnerve jfunction
d. jmental jstatus jexamination j- jANS✓✓-B
A jpt jw jincreased jICP jhas ja jventriculostomy jfor jmonitoring jICP. jThe jnurses
jmost jrecent jassessment jreveals jthat jthe jpt jis jnow jexhibiting jnuchal jrigidity
jand jphotophobia. jThe jnurse jwould jbe jcorrect jin jsuspecting jthe jpresence jof
jwhat jcomplication?
a. jencephalitis
b. jCSF jleak
c. jmeningitis
d. jcatheter jocclusion j- jANS✓✓-C
, The jnurse jis jparticipating jin jthe jcare jof ja jpt jw jincreased jICP. jWhat jdiagnostic
jtest jis jcontraindicated jin jthis jpt's jtreatment?
a. jcomputed jtomography j(CT) jscan
b. jlumbar jpuncture
c. jmagnetic jresonance jimaging j(MRI)
d. jvenous jdoppler jstudies j- jANS✓✓-B
The jnurse jhas jcreated ja jplan jof jcare jfor ja jpt jwho jis jat jrisk jfor jincreased jICP.
jThe jpt's jcare jplan jshould jspecify jmonitoring jfor jwhat jearly jsign jof jincreased
jICP?
a. jdisorientation jand jrestlessness
b. jdecreased jpulse jand jrespirations
c. jprojectile jvomiting
d. jloss jof jcorneal jreflex j- jANS✓✓-A
The jneurologic jICU jnurse jis jadmitting ja jpt jfollowing ja jcraniotomy jusing jthe
jsupratentorial japproach. jHow jshould jthe jnurse jbest jposition jthe jpt?
a. jposition jthe jpt jsupine
b. jmaintain jHOB jelevated jat j30-45 jdegrees
c. jposition jpt jin jprone jposition
d. jmaintain jbed jin jTrendelenberg jposition j- jANS✓✓-B
A jpt jhas jdeveloped jdiabetes jinsipidness jafter jhaving jincreased jICP jfollowing
jhead jtrauma. jWhat jnursing jassessment jbest jaddresses jthis jcomplication?
a. jvigilant jmonitoring jof jfluid jbalance
b. jcontinuous jBP jmonitoring
c. jserial jarterial jblood jgases j(ABGs)
d. jmonitoring jof jthe jpt's jairway jfor jpatency j- jANS✓✓-A
What jwould jthe jnurse jsuspect jwhen jhourly jassessment jof jUO jon ja jpt
jpostcrainiotomy jexhibits ja jurine joutput jfrom ja jcatheter jof j1,500mL jfor j2
jconsecutive jhours?
a. jruching jsyndrom
b. jsyndrome jof jinappropriate jantidiuretic jhormone j(SIADH)
c. jadrenal jcrisis
d. jdiabetes jinsipidus j- jANS✓✓-D
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